Individual
RICHARD TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 OGDEN AVE, SUITE 225, AURORA, IL 60504-5894
(630) 978-4800
(630) 978-6791
Mailing address
2020 OGDEN AVE STE 400, AURORA, IL 60504-5898
(630) 692-5564
(630) 692-5563
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-097522
IL
Other
Enumeration date
09/20/2005
Last updated
07/21/2020
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